• Compliance Analyst Principal (Performance…

    Prime Therapeutics (Tallahassee, FL)
    …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... business owners to implement corrective action plans + Develops compliance communication for risk assessment and corrective...8 years of progressive work experience in legal or compliance related roles for a healthcare or… more
    Prime Therapeutics (07/25/25)
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  • Senior Corporate Counsel, Compliance

    NASCO (Tallahassee, FL)
    …and ACA Exchanges business + Interacts with vendors and customers on legal and regulatory issues + Serves as our Compliance Official; supports compliance ... compliance stakeholders including product teams and HR to deliver clear regulatory guidance, effective compliance training and awareness campaigns. Creates… more
    NASCO (06/27/25)
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  • Outcomes Coordinator

    HCA Healthcare (Tallahassee, FL)
    **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Outcomes Coordinator with ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
    HCA Healthcare (06/25/25)
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  • RN Case Manager PRN

    HCA Healthcare (Ocala, FL)
    …through the established chain of command timely + Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives ... HCA Florida West Marion Hospital, you come first. HCA Healthcare has committed up to $300 million in programs...patients as assigned + Identifies patients who are at risk for adverse outcomes during the transition from one… more
    HCA Healthcare (08/09/25)
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  • RN Case Manager

    HCA Healthcare (Kissimmee, FL)
    …promptly through the established chain of command. + ​Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality ... At UCF Lake Nona Hospital, you come first. HCA Healthcare has committed up to $300 million in programs...patients as assigned. + Identifies patients who are at risk for adverse outcomes during the transition from one… more
    HCA Healthcare (08/09/25)
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  • Provider Services Representative

    Molina Healthcare (Miami, FL)
    …for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance more
    Molina Healthcare (08/28/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …/ family, hospital staff, and outside agencies + Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives; ... **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members...self- compliance and implements process changes to ensure compliance to such regulations and quality initiatives as it… more
    HCA Healthcare (06/21/25)
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  • Representative, Provider Relations HP (Must Reside…

    Molina Healthcare (FL)
    …communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance more
    Molina Healthcare (08/02/25)
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  • Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (St. Petersburg, FL)
    …responses for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive ... **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM… more
    Molina Healthcare (08/19/25)
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  • Medicare Product Development Manager, Vendor…

    Molina Healthcare (St. Petersburg, FL)
    …oversees vendor performance involving onshore and offshore resources, monitors regulatory compliance adherence (in conjunction with functional counterparts) ... ROI on the covered benefits and its management + Oversees vendor performance, compliance , and satisfaction, with a focus on minimizing gaps in member, vendor and… more
    Molina Healthcare (07/25/25)
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